01D2299959 CLIA NUMBER - DOCTORS DIRECT

Laboratory Demographics

  • CLIA Code: 01D2299959
  • Facility Name: DOCTORS DIRECT
  • Facility Address: 11434 BULL SLOUGH ROAD
    NORTH PORT, AL
    ZIP 35475
  • Facility Phone: 205 305-0034
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. KATHEINE W. GRELLE
  • NPI Number: 1336929660
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2299959
LAB Type Practitioner Other
Facility Name DOCTORS DIRECT
Street 11434 BULL SLOUGH ROAD
City NORTH PORT
State AL
ZIP 35475
Phone 205 305-0034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Practitioner Other
Lab Director DR. KATHEINE W. GRELLE

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This page was last updated on: 9/29/2025